PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS

Size: px
Start display at page:

Download "PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS"

Transcription

1 PHARMACY BENEFITS MANAGER SELECTION FAQ FOR PRODUCERS For Producer Audience Only - Please Do Not Distribute Regence has selected Prime Therapeutics as the Pharmacy benefits manager for its health plans. Prime s three-year contract begins Jan. 1, Prime s services will include pharmacy benefits administration, pharmacy customer service, website integration, and an extensive retail pharmacy network. Home delivery and specialty pharmacy services will be delivered through AllianceRx Walgreens Prime, a joint venture of Prime and Walgreens. Prime was chosen for its operational quality, favorable rates, customer service record and cultural alignment. FREQUENTLY ASKED QUESTIONS Quick Links: General Specialty Home delivery About Prime Therapeutics About the Prime/Walgreens Alliance About AllianceRx Walgreens Prime GENERAL 1. NEW Will there be a new pharmacy website? Pharmacy services will be embedded and branded under the Regence website and will be featured more prominently than in the past. The Oct. 1, 2017, release will host features for members shopping for 2018 plans and will include tools to help members understand which drugs are covered, how much they will cost, and where to get them filled. The Jan. 1, 2018, release will include members prescription history, current medications, and links to home delivery and specialty pharmacy websites. Home delivery and specialty web sites will be branded AllianceRx Walgreens Prime. 2. NEW How will members be directed to Prime s call center? All pharmacy specific communications will include Prime s call center phone number. It will also be printed on the back of all new member ID cards. In addition, our Medicare and Commercial Customer Service centers are prepared to transfer callers to Prime. 3. NEW Will members get new ID cards? Updated 8/16/17 Page 1

2 All Medicare members will receive new ID cards with the Prime call center number listed on the back. All new commercial ID cards for members with pharmacy benefits will include the Prime call center number. Most member cards for commercial plans will need to be reissued with the new Vision Services Plan (VSP) vision benefit contact information, and it is expected that those cards will also include the Prime call center number. 4. NEW Who will provide pharmacy customer service? Prime will provide customer service they are available 24/7. Prime has dedicated lines for each line of business, as well as for providers and pharmacies. Prime s customer service number will be printed on the back of all new member ID cards. Prime employees will answer calls using the appropriate health plan brand. Prime s member satisfaction scores exceed 90 percent. Their call centers are World Class Certified by Service Quality Measurement (SQM) Group. In addition, Prime was awarded SQM s 2016 Highest Customer Satisfaction Award in Pharmacy. 5. NEW Will we have a new brand to introduce and will any of the others go away (i.e. Catamaran, Optum, Briova, etc.)? Yes. AllianceRx Walgreens Prime is the brand for the specialty and home delivery services. Member-facing home delivery and specialty pharmacy materials will be co-branded with the health plan and AllianceRx Walgreens Prime. The logo cannot be released publicly until the end of August. All member-facing pharmacy related information besides home delivery and specialty will be branded under Regence. The Catamaran, Optum, Briova brands will no longer be associated with pharmacy services. The OmedaRx brand will no longer be customer-facing after Jan. 1, NEW What does this mean for OmedaRx? The strategic focus for pharmacy services has shifted from a business-to-business entity to a consumer-focused service that is integrated into Regence. Reintegration began in 2016 and will continue throughout You can expect to see the OmedaRx brand less and less and the term pharmacy services used more and more as they continue their integration. Beginning Jan. 1, 2018, the OmedaRx name will officially retire. The team is currently identifying and updating all references to OmedaRx in regulatory filings, contracts, websites, business cards, s, collateral, call center scripts, member and provider letters, and more. 7. Why did Regence make this decision? First, Prime s selection was based on alignment with our Cause and the assurance we deliver on our brand promise to our customers and members. Second, we must remain competitive in the pharmacy space, and Prime provided the most competitive bid, both near term and in the future. Third, we are keenly focused on operational excellence with regard to quality of care and compliance we strive every day to produce the best possible operational Updated 8/16/17 Page 2

3 performance for the customers we serve. Prime s track record in this arena was compelling. Finally, Prime s unique business model positions us well for continued transformation with a relentless focus on helping our members get the best health benefit from their prescription coverage at the best possible price. 8. How did Regence make this decision? Seeking pharmacy benefits manager proposals is a regular course of business to ensure we remain competitive and continue to offer the best possible outcomes and value to our customers. Regence issued a national RFP to leading pharmacy benefits manager. Three finalists were selected and then evaluated on several criteria, including financials, strategic alignment, quality of clinical care, customer service, operations excellence, technological capabilities, and breadth and depth of programs and services. 9. Which lines of business are affected by these changes? All lines of business currently receiving pharmacy benefits will be affected by this change. This includes commercial, Medicare, and on-exchange. 10. What pharmacy services will be affected by this change? Prime s services will include pharmacy benefits administration, pharmacy customer service, website integration, and the retail pharmacy network. Home delivery and specialty pharmacy services will be delivered by AllianceRx Walgreens Prime. 11. How is Regence preparing for a smooth transition? Regence and Prime are collaborating to ensure a smooth transition for our members. We are committed to staffing appropriately and developing resources to be fully functional prior to Jan. 1, We have designated a project team focused on the transition. Prime s proven process includes careful planning, an experienced implementation team and extensive data testing. 12. How will this transition affect pharmacy benefits? In most cases, the prescriptions members fill at a retail pharmacy will transfer automatically. Members will only need to update the pharmacy with the insurance information on the new member ID card. In most cases, home delivery prescriptions with refills will transfer automatically. Approved pre-authorizations for regular and specialty medications will transfer automatically. New prescriptions will be required for controlled substances, narcotics, compound medications or if the prescription has either expired or does not have any refills remaining. What can groups expect after implementation? Groups can expect to receive the same high quality pharmacy services they receive from Regence and OmedaRx today. Prime s track record for operational excellence and customer satisfaction will complement our full service Updated 8/16/17 Page 3

4 offerings. According to the 2016 Pharmacy Benefit Management Institute (PBMI) Customer Satisfaction Survey, Prime ranked at the top of the large pharmacy benefit managers in overall satisfaction. Prime also leads in employer satisfaction according to PBMI s annual satisfaction report. 13. Will there be a new drug list? The drug list will not change because of moving to a new pharmacy benefits manager. However, the drug list does change in response to new market developments and clinical findings. Our pharmacy team will continue to maintain our formularies to ensure they remain competitive and clinically sound. SPECIALTY PHARMACY 14. What will the member s experience be during the transition? All members will go through a personalized onboarding process to build their medical profile, identify their communication preference, and work with the AllianceRx Walgreens Prime team to learn about all of the services available to them. If needed, members will talk with a clinician to go over important information related to their disease, and then receive a welcome packet to confirm the information discussed during their first call with the pharmacy. All questions and concerns will receive timely resolution from the service delivery team. This team is designed to handle any escalated issues as well as address any sensitive member needs during the transition. 15. How will member prescriptions be transferred? AllianceRx Walgreens Prime will work with our current pharmacy benefits manager to obtain an open refill transfer file for active prescriptions. If needed, AllianceRx Walgreens Prime will contact a member s doctor to obtain a new prescription. 16. Will members personal payment information transfer along with their prescriptions? If a member is currently a Walgreens specialty customer, yes. If not, then member s payment information will not transfer and they will need to verify payment information at first fill. 17. How can members pay for their specialty medications? Members may use a credit card. AllianceRx Walgreens Prime will work with members who would like to use an alternative form of payment. 18. Will members who cannot afford their specialty medications continue to have access to financial assistance? Yes. AllianceRx Walgreens Prime has access to all pharmacy programs and large foundation-based programs to help members pay for their medications. 19. What if a member is taking a limited distribution drug? Updated 8/16/17 Page 4

5 AllianceRx Walgreens Prime has access to an industry-leading list of limited distribution drugs. In the rare event a member s drug is not available, AllianceRx Walgreens Prime would refer the member to another pharmacy. 20. What will happen with members who are on customized programs for specialty medications like split fill programs? AllianceRx Walgreens Prime has a split fill program and can assist with plan design around the appropriate options. 21. Are all specialty medications required to be filled by AllianceRx Walgreens Prime? Required specialty medication dispensing is based on plan design. If under the member s plan, they must fill specialty drugs at AllianceRx Walgreens Prime, then yes. AllianceRx Walgreens Prime would only triage a member to another pharmacy in the event a member s drug is not available. 22. How can members get their specialty medications? AllianceRx Walgreens Prime typically ships specialty medications to members homes. On request, AllianceRx Walgreens Prime will ship medications to an alternate location. 23. Will members be able to pick up their specialty medications at Walgreens? Yes, Walgreens retail store pick-up will be available. 24. How does shipping work? We have union groups that do not want to use FedEx for any shipping. Can members select a different express shipping vendor? AllianceRx Walgreens Prime uses multiple express shippers, including FedEx and UPS. AllianceRx Walgreens Prime would need to discuss options and reimbursement if a shipping vendor is preferred that may not be cost effective and/or delivery is not available to the requested location. 25. Where is AllianceRx Walgreens Prime located? AllianceRx Walgreens Prime has five specialty locations. The primary fulfillment location for Regence health plan members will be Beaverton, Ore. AllianceRx Walgreens Prime will over time optimize shipping timing and costs by fulfilling at facilities closest to the member s shipping address. The shipping location will be transparent to the member. HOME DELIVERY PHARMACY 26. Will members have to register with AllianceRx Walgreens Prime home delivery? Yes. AllianceRx Walgreens Prime will work with our current pharmacy benefits manager to obtain an open refill transfer file that will transfer members pre-registration information. Members will need to verify their profile and provide payment information on the first fill. 27. How do members sign up for home delivery? Updated 8/16/17 Page 5

6 Members may sign up online, by phone or by mail. A registration form will be included in the member s welcome packet. 28. How will automatic refills be transferred? Members will have the option to enroll in automatic refill upon registration when providing credit card information. Each time a prescription is automatically filled, AllianceRx Walgreens Prime will notify the member to ensure they have the opportunity to cancel the order if desired. 29. Will members personal credit card information transfer? Payment information is retained for current Walgreens home delivery customers. All other members will need to verify payment information at first fill. 30. What about members taking a controlled substance or a compound medication? AllianceRx Walgreens Prime will contact providers on behalf of members to obtain a new prescription for controlled substances or compound medications. 31. What about members whose prescriptions have expired? AllianceRx Walgreens Prime can contact a member s doctor or the member can obtain a new prescription from their doctor. 32. What happens if the member doesn t change their home delivery provider? A member s home delivery provider is based on the member s plan design. If a member s plan requires home delivery prescriptions to be filled by AllianceRx Walgreens Prime, any other home delivery pharmacy would be considered out of network. 33. What is the average turnaround time for home delivery deliveries? AllianceRx Walgreens Prime will process prescriptions with no complications in less than one business day. Prescriptions with exceptions that need to be resolved typically are turned around in less than two business days. 34. Will medications be sent express mail? AllianceRx Walgreens Prime ships medications through the U.S. Postal Service, with the exception of overnight shipping for medications that require special handling. Members can always upgrade to express or overnight shipping at their own expense. 35. Where is the home delivery facility located? The primary fulfillment location for home delivery is Tempe, Ariz. 36. ABOUT PRIME THERAPEUTICS Prime Therapeutics is the fourth-largest pharmacy benefits manager in the U.S., serving 20 million health plan members. It manages pharmacy benefits for health plans, employers, the health insurance marketplace, and Medicare and Medicaid. In 2016, Prime processed 305 Updated 8/16/17 Page 6

7 million prescription claims and managed more than $22.6 billion in drug spending on behalf of its clients. Prime received SQM s highest customer service award for 2015 performance. Prime s member satisfaction scores exceed 90 percent. Prime is a leader in providing high quality, low-cost care. Prime s net-ingredient cost for prescription medicine has been consistently lower than the competitive average over the past seven years. Prime is experienced integrating pharmacy and medical benefits. That integration delivers tangible results. A study commissioned by the Blue Cross and Blue Shield Association compared the medical costs of members with carve-in pharmacy benefits to those of members with carve-out pharmacy benefits. The study concluded that the carve-in group experienced 11 percent lower medical costs. Prime has 3,600 employees. The company is based in St. Paul, Minnesota, with regional offices in Orlando, Florida; Omaha, Nebraska; Albuquerque, New Mexico; and Irving, Texas. Prime Therapeutics is accredited by the following organizations: National Committee for Quality Assurance (NCQA) for Utilization Management and Health Information Products Utilization Review Accreditation Commission (URAC) for Pharmacy Benefit Management and Mail Service Pharmacy. Accreditation Commission for Health Care (ACHC) for Specialty Pharmacy National Association of Boards of Pharmacy (NABP) Verified Internet Pharmacy Practice Sites (VIPPS) for Mail Service Pharmacy More information can be found at ABOUT THE PRIME/WALGREENS ALLIANCE In September 2016, Prime and Walgreens announced a long-term strategic alliance that includes the following key components: A long-term retail services agreement that establishes Walgreens as the anchor to Prime s national pharmacy network. A specialty and home delivery pharmacy services joint venture that combines Prime s and Walgreen s specialty and home delivery assets and employees into a new company, AllianceRx Walgreens Prime. 38. ABOUT ALLIANCE RX WALGREENS PRIME AllianceRx Walgreens Prime is a joint venture of Prime Therapeutics and Walgreens that combines both the companies specialty and home delivery pharmacy capabilities and expands services and access for members. Updated 8/16/17 Page 7

8 Updated 8/16/17 Page 8

New Mexico Retiree Health Care Authority Medicare Part D Prescription Drug Program Express Scripts Holding Company. All Rights Reserved.

New Mexico Retiree Health Care Authority Medicare Part D Prescription Drug Program Express Scripts Holding Company. All Rights Reserved. New Mexico Retiree Health Care Authority Medicare Part D Prescription Drug Program 1 About Express Scripts Express Scripts is RHCA s chosen partner for administering your prescription plan We are a leading

More information

Hear better, Live fully.

Hear better, Live fully. EPIC Hearing Healthcare 3191 W. Temple Ave Suite 200 Pomona, CA 91768 Corporate Toll Free: 877.606.3742 Email: sales@epichearing.com www.epichearing.com Hear better, Live fully. ASO-2013 ASO Savings Plan

More information

2016 Travelers Prescription Drug Plan Blue Cross Blue Shield Plan and United Healthcare Choice Plus Plan

2016 Travelers Prescription Drug Plan Blue Cross Blue Shield Plan and United Healthcare Choice Plus Plan 2016 Travelers Prescription Drug Plan Blue Cross Blue Shield Plan and United Healthcare Choice Plus Plan Plan Details, Programs, and Policies Table of Contents Click on the links below to be taken to that

More information

ASO core offerings. Self-funded groups, sized 100+

ASO core offerings. Self-funded groups, sized 100+ ASO core offerings Self-funded groups, sized 100+ Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Regence ASO core offerings Under an ASO

More information

Dear Member: We look forward to serving you. Sincerely, Express Scripts

Dear Member: We look forward to serving you. Sincerely, Express Scripts Dear Member: Welcome to Express Scripts, the company Eastern Kentucky University has chosen to manage your prescription drug plan. As one of the nation s leading prescription benefit managers, Express

More information

The Value of Walgreens

The Value of Walgreens The Value of Walgreens How Walgreens improves employer health plans through access, quality and lower costs Why millions of patients choose Walgreens And your options to move forward with Walgreens Walgreens

More information

PBMs: Impact on Cost and Quality of Pharmaceutical Care in the U.S.

PBMs: Impact on Cost and Quality of Pharmaceutical Care in the U.S. Speaker Brian K. Solow, MD, FAAFP Optum Life Sciences Irvine, CA, USA PBMs: Impact on Cost and Quality of Pharmaceutical Care in the U.S. Brian K. Solow, MD, FAAFP Chief Medical Officer, Optum Life Sciences

More information

Provider Service Model. Collaborating for Success Jodi Stockslager, Sr. Provider Advocate, Provider Relations

Provider Service Model. Collaborating for Success Jodi Stockslager, Sr. Provider Advocate, Provider Relations Provider Service Model Collaborating for Success Jodi Stockslager, Sr. Provider Advocate, Provider Relations Agenda Welcome / Introductions UnitedHealthcare overview Member ID Cards Products and networks

More information

2019 PHARMACY DIRECTORY

2019 PHARMACY DIRECTORY 2019 PHARMACY DIRECTORY This is a brief explanation and overview of the pharmacies members can use to get their prescription drugs. In a continued effort to offer our members value, pharmacies may be added

More information

Get the most from your prescription plan

Get the most from your prescription plan Get the most from your prescription plan THE BALTIMORE CITY PUBLIC SCHOOLS Introducing Express Scripts What s Inside Your plan at a glance...2 Generics Preferred program...2 Prior authorization...3 Quantity

More information

April 23, Questions regarding this document? Contact us at: Provider Network Education - July 2014

April 23, Questions regarding this document? Contact us at: Provider Network Education - July 2014 QUESTION April 23, 2014 1 Caller: Will precert authorization be required for emergency ambulance or just hospital admissions? 2 Caller: Can we go over who will be considered the HOST Plan and who would

More information

Get the most from your prescription plan

Get the most from your prescription plan Get the most from your prescription plan THE BALTIMORE CITY PUBLIC SCHOOLS Introducing Express Scripts What s Inside Your plan at a glance...2 Generics Preferred program...2 Prior authorization...3 Quantity

More information

2018 Travelers Prescription Drug Plan High Deductible + HSA Plan

2018 Travelers Prescription Drug Plan High Deductible + HSA Plan 2018 Travelers Prescription Drug Plan High Deductible + HSA Plan Plan Details, Programs, and Policies Table of Contents Click on the links below to be taken to that section National Preferred Formulary

More information

Welcome to your. Pharmacy Services Guide. Many of our stores are open 24 hours. To find one near you, visit or call SHOP CVS.

Welcome to your. Pharmacy Services Guide. Many of our stores are open 24 hours. To find one near you, visit   or call SHOP CVS. Welcome to your Many of our stores are open 24 hours. To find one near you, visit www.cvs.com or call 1-800-SHOP CVS. Pharmacy Services Guide 06530RXS09 - Item #456748 11/08 Supplying you with health information

More information

Getting started with Prime

Getting started with Prime Getting started with Prime How does a pharmacy plan work? When you visit your doctor, he or she may prescribe medicine for you. Here's how the plan works: Take your prescription and member ID card to the

More information

Vaccine Starter Kit Program FAQs

Vaccine Starter Kit Program FAQs Vaccine Starter Kit Program FAQs Program How does this program help Health Mart pharmacies provide vaccines for their customers? McKesson has designed a comprehensive program specifically for Health Mart

More information

Blue Cross and Blue Shield of New Mexico and Lovelace Health Plan Transactions Frequently Asked Questions

Blue Cross and Blue Shield of New Mexico and Lovelace Health Plan Transactions Frequently Asked Questions Blue Cross and Blue Shield of New Mexico and Lovelace Health Plan Transactions Frequently Asked Questions Blue Cross and Blue Shield of New Mexico (BCBSNM), has received regulatory approval to acquire

More information

The Business of Spine

The Business of Spine The Business of Spine REIMBURSEMENT EDUCATION FOR THE SPINAL IMPLANT REPRESENTATIVE PRESENTED BY: BARBARA CATALETTO, MBA, CPC MAURO M. CATALETTO, MD TUESDAY, APRIL 16, 2013 NEW YORK, NEW YORK GAIN THE

More information

Oncology Solutions Provider Training Program. Horizon NJ Health

Oncology Solutions Provider Training Program. Horizon NJ Health Oncology Solutions Provider Training Program Horizon NJ Health NIA Training Program NIA A Magellan Health Company 2 NIA Program Agenda Introduction to the Training Our Program 1. Authorization Process

More information

Medication trends shaping workers compensation. A 2018 update of the prevailing industry influences impacting pharmacy outcomes

Medication trends shaping workers compensation. A 2018 update of the prevailing industry influences impacting pharmacy outcomes Medication trends shaping workers compensation A 2018 update of the prevailing industry influences impacting pharmacy outcomes This page intentionally left blank Trends impacting workers compensation pharmacy

More information

Anthem Extras Packages for Seniors

Anthem Extras Packages for Seniors Anthem Extras Packages for Seniors Talking Points and Frequently Asked Questions FOR OHIO Background Anthem is proud to announce the availability Anthem Extras Packages for Seniors, providing coverage

More information

THE POWER OF. Savings through the largest dentist network. Hometown expertise. Measurably superior service

THE POWER OF. Savings through the largest dentist network. Hometown expertise. Measurably superior service THE POWER OF Savings through the largest dentist network Delta Dental Premier is the largest network of dentists across the state and country. Delta Dental PPO SM is one of the largest PPO networks across

More information

EHR Developer Code of Conduct Frequently Asked Questions

EHR Developer Code of Conduct Frequently Asked Questions EHR Developer Code of Conduct Frequently Asked Questions General What is the purpose of the EHR Developer Code of Conduct? EHR Association (the Association) members have a long tradition of working with

More information

Prescription Drug Importation: Can it Help America's Seniors? Safety of Imported Medications: I-SaveRx Case Study

Prescription Drug Importation: Can it Help America's Seniors? Safety of Imported Medications: I-SaveRx Case Study Prescription Drug Importation: Can it Help America's Seniors? Safety of Imported Medications: I-SaveRx Case Study Presented By: Scott McKibbin Special Advocate For Prescription Drugs State Of Illinois

More information

Challenges for U.S. Attorneys Offices (USAO) in Opioid Cases

Challenges for U.S. Attorneys Offices (USAO) in Opioid Cases Challenges for U.S. Attorneys Offices (USAO) in Opioid Cases Overview On August 2, 2017, U.S. Attorney General Jeff Sessions announced a pilot program whereby a new federal data analysis program is being

More information

Insurance Guide For Dental Healthcare Professionals

Insurance Guide For Dental Healthcare Professionals Insurance Guide For Dental Healthcare Professionals Dental Benefits Basics What is dental insurance? Unlike traditional insurance, dental benefits are not meant to cover all oral healthcare needs. The

More information

2-1-1 and Aging & Disability Resource Centers: Challenges and Opportunities. ADRC Conference Call September 9, 2004

2-1-1 and Aging & Disability Resource Centers: Challenges and Opportunities. ADRC Conference Call September 9, 2004 2-1-1 and Aging & Disability Resource Centers: Challenges and Opportunities ADRC Conference Call September 9, 2004 What is 211? Designated by FCC July, 2000 three digit phone number to access health &

More information

RxVACCINATE: A National Education and Practice Support Initiative to Increase Pharmacist Administered Pneumococcal Vaccinations.

RxVACCINATE: A National Education and Practice Support Initiative to Increase Pharmacist Administered Pneumococcal Vaccinations. RxVACCINATE: A National Education and Practice Support Initiative to Increase Pharmacist Administered Pneumococcal Vaccinations. Pfizer Grant 45130: LOI Pneumococcal Disease Prevention Grant ID: 45130

More information

Call for Strategic Partners, Sponsors and Exhibitors

Call for Strategic Partners, Sponsors and Exhibitors Presents Call for Strategic Partners, Sponsors and Exhibitors Sunday, June 22 Tuesday, June 24, 2014 The Westin Beach Resort Fort Lauderdale, Florida www.planetphilanthropy.org Greetings from Planet Philanthropy

More information

Submitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis

Submitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis STATEMENT FOR THE RECORD Submitted to the House Energy and Commerce Committee Federal Efforts to Combat the Opioid Crisis October 25, 2017 America s Health Insurance Plans 601 Pennsylvania Avenue, NW Suite

More information

Align your brand with one of education s most highly respected and experienced organizations.

Align your brand with one of education s most highly respected and experienced organizations. Christian Schools International Sponsorship Opportunities 2014-2015 Align your brand with one of education s most highly respected and experienced organizations. Sponsorship Opportunities Join Us. Founded

More information

Anthem Extras Packages for Seniors

Anthem Extras Packages for Seniors Anthem Extras Packages for Seniors Talking Points and Frequently Asked Questions FOR VIRGINIA Background Anthem is proud to announce the availability of Anthem Extras Packages for Seniors, providing coverage

More information

FlexRx 6-Tier. SM Pharmacy Benefit Guide

FlexRx 6-Tier. SM Pharmacy Benefit Guide FlexRx 6-Tier SM Pharmacy Benefit Guide Welcome to FlexRx The AllWays Health Partners FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many

More information

Insurance Providers Reduce Diabetes Risk Through CDC Program

Insurance Providers Reduce Diabetes Risk Through CDC Program Insurance Providers Reduce Diabetes Risk Through CDC Program ISSUE BRIEF JULY 2018 KEY TAKEAWAYS 86 million Americans 1 in 3 adults have pre-diabetes. Studies show that losing 5 to 7 percent of body weight

More information

Speed & Agility, Track & Field and Strength Training

Speed & Agility, Track & Field and Strength Training ATHLETIC SCHOLARSHIPS SPORT SCIENCE TESTING COMPETITIVE ADVANTAGE COLLEGE READINESS Speed & Agility, Track & Field and Strength Training Think of MIT training services as a strategic training partner that

More information

A&M Care Prescription Drug Program Express Scripts Holding Company. All Rights Reserved.

A&M Care Prescription Drug Program Express Scripts Holding Company. All Rights Reserved. A&M Care 2018 2019 Prescription Drug Program 1 Prescription Drug Benefits Annual Deductible Out of Pocket Maximum Access Options Retail 30 Day Supply: Refills allowed as prescribed. (Good option for new

More information

The Business of Spine The Business of Spine

The Business of Spine The Business of Spine REIMBURSEMENT EDUCATION FOR THE SPINAL IMPLANT REPRESENTATIVE PRESENTED BY: BARBARA CATALETTO, MBA, CPC MAURO M. CATALETTO, MD TUESDAY, AUGUST 11, 2015 NEW YORK, NEW YORK GAIN THE COMPETITIVE EDGE BY UNDERSTANDING

More information

Organizational Membership Program & Business Directory Listings

Organizational Membership Program & Business Directory Listings Organizational Membership Program & Business Directory Listings Reach Your Target Audience PARTNER WITH US TODAY: CHRISTINA DEROSE Industry Relations Associate P: 856-437-4742 E: cderose@homeopathycenter.org

More information

Best Doctors Service Card. Connecting Canadians to the world s best medical information

Best Doctors Service Card. Connecting Canadians to the world s best medical information Best Doctors Service Card Connecting Canadians to the world s best medical information If the worst happens, help is only a phone call away Having the best medical knowledge for any important healthcare

More information

PUT THE POWER AND PRODUCTIVITY OF DENTRIX IN YOUR PRACTICE

PUT THE POWER AND PRODUCTIVITY OF DENTRIX IN YOUR PRACTICE PUT THE POWER AND PRODUCTIVITY OF DENTRIX IN YOUR PRACTICE 01 INTRODUCTION THE RIGHT CHOICE TO ENSURE THE SUCCESS OF YOUR PRACTICE We understand you face multiple challenges today: increased competition

More information

9/25/15. Pharmacy Quality Measures: Financial Support. Learning Objectives. Speaker Disclosure. Access to Preferred Networks and Clinical Performance

9/25/15. Pharmacy Quality Measures: Financial Support. Learning Objectives. Speaker Disclosure. Access to Preferred Networks and Clinical Performance Pharmacy Quality Measures: Action Steps for Improvement Financial Support Financial support was provided for this activity through an unrestricted grant from Health Mart Systems, Inc. Christine Jacobson

More information

PARTNERSHIP & SPONSORSHIP OPPORTUNITIES

PARTNERSHIP & SPONSORSHIP OPPORTUNITIES PARTNERSHIP & SPONSORSHIP OPPORTUNITIES About MPI Meeting Professionals International (MPI) is the largest meeting and event industry association worldwide. Founded in 1972, the organization provides innovative

More information

Dental & Vision. For World Travelers of America Members. Marketed by:

Dental & Vision. For World Travelers of America Members. Marketed by: Dental & Vision For World Travelers of America Members Marketed by: MAX Choice Plans Two affordable plans with benefits that increase over time What are MAX Choice Plans? Our MAX Choice plans offer individuals

More information

Corporate Presentation Fourth Quarter 2017

Corporate Presentation Fourth Quarter 2017 Corporate Presentation Fourth Quarter 2017 November 2017 1 Safe harbor statement This presentation contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as

More information

STATEWIDE MEDICAID MANAGED CARE DENTAL PROGRAM FREQUENTLY ASKED QUESTIONS

STATEWIDE MEDICAID MANAGED CARE DENTAL PROGRAM FREQUENTLY ASKED QUESTIONS STATEWIDE MEDICAID MANAGED CARE DENTAL PROGRAM FREQUENTLY ASKED QUESTIONS Table of Contents DOCUMENT PURPOSE... 1 GENERAL QUESTIONS... 1 CHOICE COUNSELING/ENROLLMENT... 2 COVERAGE... 4 CREDENTIALING...

More information

2018 PHARMACY DIRECTORY

2018 PHARMACY DIRECTORY 2018 PHARMACY DIRECTORY This is a brief explanation and overview of the pharmacies members can use to get their prescription drugs. In a continued effort to offer our members value, pharmacies may be added

More information

Walgreen Co. Reports Second Quarter 2010 Earnings Per Diluted Share of 68 Cents; Results Include 2 Cents Per Diluted Share of Restructuring Costs

Walgreen Co. Reports Second Quarter 2010 Earnings Per Diluted Share of 68 Cents; Results Include 2 Cents Per Diluted Share of Restructuring Costs Walgreen Co. Reports Second Quarter 2010 Earnings Per Diluted Share of 68 Cents; Results Include 2 Cents Per Diluted Share of Restructuring Costs Second quarter sales up 3.1 percent to record $17.0 billion

More information

REQUEST FOR PROPOSALS FOR CY 2019 FUNDING. Issue Date: Monday, July 30, Submission Deadline: 5:00 p.m., Friday, August 24, 2018

REQUEST FOR PROPOSALS FOR CY 2019 FUNDING. Issue Date: Monday, July 30, Submission Deadline: 5:00 p.m., Friday, August 24, 2018 REQUEST FOR PROPOSALS FOR CY 2019 FUNDING Issue Date: Monday, July 30, 2018 Submission Deadline: 5:00 p.m., Friday, August 24, 2018 NOTE: RFP proposals received after the deadline will not be considered.

More information

Section Processing

Section Processing Section 10000 Processing Table of Contents 10100 Introduction 10200 Participation 10300 Submit Requests in Pounds, Not Cases 10400 Approved Processors 10500 TDA Processing Contracts 10600 Value Pass-Through

More information

Access Points: Frequently Asked Questions 15 June 2016

Access Points: Frequently Asked Questions 15 June 2016 Access Points: Frequently Asked Questions 15 June 2016 Access Point Interim Agreement Q. Why have I received an Interim Agreement? The Commonwealth and Diabetes Australia have entered into a new NDSS Agreement

More information

THE GROWTH OF SPECIALTY PHARMACY

THE GROWTH OF SPECIALTY PHARMACY UnitedHealth Center for Health Reform & Modernization THE GROWTH OF SPECIALTY PHARMACY Current trends and future opportunities Issue Brief April 2014 Summary Innovative specialty drugs are providing important

More information

THIRD-PARTY FUNDRAISING TOOLKIT

THIRD-PARTY FUNDRAISING TOOLKIT Welcome! Thank you for your sincere interest in helping homeless children, families, and adults served by the Presbyterian Home for Children and the Sunrise Center which is a ministry of the Presbyterian

More information

DIABETES TEST STRIPS REIMBURSEMENT REDUCTIONS TO INDEPENDENT PHARMACIES WILL NEGATIVELY IMPACT MEDICARE PATIENTS

DIABETES TEST STRIPS REIMBURSEMENT REDUCTIONS TO INDEPENDENT PHARMACIES WILL NEGATIVELY IMPACT MEDICARE PATIENTS DIABETES TEST STRIPS REIMBURSEMENT REDUCTIONS TO INDEPENDENT PHARMACIES WILL NEGATIVELY IMPACT MEDICARE PATIENTS NCPA Member Survey Results September 2012 CMS is considering cutting payments to pharmacies

More information

Walgreens (WAG) Analyst: Juan Fabres Fall 2014

Walgreens (WAG) Analyst: Juan Fabres Fall 2014 Recommendation: Buy Target Price August 31, 2016: $77.57 1. Reasons for the Recommendation With the acquisition of Alliance Boots in Europe, Walgreens will be the first US pharmacy to operate retail stores

More information

2017 FAQs. Dental Plan. Frequently Asked Questions from employees

2017 FAQs. Dental Plan. Frequently Asked Questions from employees 2017 FAQs Dental Plan Frequently Asked Questions from employees September 2016 Dental plan Questions we ve heard our employees ask Here are some commonly asked questions about the Dental plan that our

More information

How Mail-Servi. Prepared for

How Mail-Servi. Prepared for How Mail-Servi ice Pharmacies Will Save $46.6 Billion Over the Next Decade and the Cost of Proposed Restrictions Prepared for February 2012 Table of Contents I. Executive Summary... 3 Major Findings on

More information

The Dental Corporation Opportunity

The Dental Corporation Opportunity The Dental Corporation Opportunity for Practice Principals. It s the perfect professional collaboration. You focus on dentistry, we look after the paperwork. In recognition of what you, the Practice Principal,

More information

2019 Sponsorship Opportunities

2019 Sponsorship Opportunities 2019 Sponsorship Opportunities Business Partners: Become a part of Greater St. Louis MGMA! Share our vision of nurturing healthcare practices to reach peak performance and to create exceptional experiences

More information

Healthy Texas Women. Viveca Martinez, Deputy Associate Commissioner Health and Human Services

Healthy Texas Women. Viveca Martinez, Deputy Associate Commissioner Health and Human Services Healthy Texas Women Viveca Martinez, Deputy Associate Commissioner Health and Human Services Agenda Healthy Texas Women(HTW) HTW Enrollment Methods HTW Program Benefits Family Planning Program (FPP) Breast

More information

Alzheimer s Society Society

Alzheimer s Society Society Alzheimer s Society Society R Recognition process for Dementia Friendly Communities Consultation paper 0 Consultation on a recognition process for dementia friendly communities Deadline: Monday 15 th October

More information

Chapter Affiliation Annual Report Workbook

Chapter Affiliation Annual Report Workbook 2017 Chapter Affiliation Annual Report Workbook International Association of Workforce Professionals 3267 Bee Caves Road Suite 107-104 Austin, Texas 78746 info@iawponline.org Phone 1-888-898-9960 Letter

More information

See Yourself in Health Net Blue & Gold HMO

See Yourself in Health Net Blue & Gold HMO University of California See Yourself in Health Net Blue & Gold HMO Frequently Asked Questions 2017 Open Enrollment Blue & Gold HMO from Health Net of California, Inc. (Health Net) is the flexible, easy-to-use

More information

Dental & Vision. For World Travelers of America Members. Marketed by:

Dental & Vision. For World Travelers of America Members. Marketed by: Dental & Vision For World Travelers of America Members Marketed by: MAX Choice Plans Two affordable plans with benefits that increase over time What are MAX Choice Plans? Our MAX Choice plans offer individuals

More information

Today s Presenter Kyle Roberts

Today s Presenter Kyle Roberts Today s Presenter Kyle Roberts Senior Director of Sales & Account Management, Amplifon Hearing Health Care (813) 743-8783 kyle.roberts@amplifon.com Today s Presenter Eric Gaither Senior Account Executive,

More information

Provider Bulletin 2016 Fourth Quarter

Provider Bulletin 2016 Fourth Quarter PCMH Provider Bulletin 2016 Fourth Quarter A bulletin for the Molina Healthcare of Texas Network Questions? Call Provider Services (855) 322-4080 8 a.m. 5 p.m. Monday through Friday Connect with Us www.facebook.com/molinahealth

More information

Capital Health Plan CMS Star Ratings Strategies for Improvement

Capital Health Plan CMS Star Ratings Strategies for Improvement Capital Health Plan CMS Star Ratings Strategies for Improvement ESTRELLITA REDMON, MD, MBA MEDICAL DIRECTOR The Ultimate Goal Outline Current 5 Star Plans CHP History Importance of Ratings Part C and Part

More information

PHARMACY COMPLIANCE RISK AREAS FOR 2014

PHARMACY COMPLIANCE RISK AREAS FOR 2014 PHARMACY COMPLIANCE RISK AREAS FOR 2014 2014 San Juan Puerto Rico Regional Compliance Conference Darrell W. Contreras, Esq., LHRM, CHC-F, CHPC, CHRC 5 Risk Areas 1. Overbilling of Herceptin 2. Quality

More information

Florida Blue s Member Website

Florida Blue s Member Website Florida Blue s Member Website SITE STRATEGY The member website is a self-service vehicle for members to access their Florida Blue account for: Utilizing tools to guide members to save money on their medical

More information

Express Scripts Canada Pharmacy. Take advantage of the benefits to you and your family. express-scripts.ca

Express Scripts Canada Pharmacy. Take advantage of the benefits to you and your family. express-scripts.ca Express Scripts Canada Pharmacy Take advantage of the benefits to you and your family express-scripts.ca Table of Contents Benefits of Joining... 1 Express Scripts Canada Pharmacy... 2 Filling My Prescriptions...

More information

RECEIVING YOUR PERMANENT

RECEIVING YOUR PERMANENT 00001 JOHN Q SAMPLE 9501 E. Shea Blvd SCOTTSDALE, AZ 85260 3118-00001_PM City of Savannah 132 E. Broughton Street Savannah, GA 31401 THIS IS A ONE-TIME CARD TO BE USED UNTIL YOUR PERMANENT CARD ARRIVES

More information

Pharmacy benefit guide

Pharmacy benefit guide FlexRx SM 5-Tier Pharmacy benefit guide 1 Welcome to FlexRx The NHP FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many common medications

More information

Healthcare Financial Management Association

Healthcare Financial Management Association January 2010 Sample Size: 550 Undelivered E-mail: 26 Final Sample: 524 Responses Received: 106 Response Rate: 20% FY10 Overall High Satisfaction: 48% Online survey conducted by HFMA on behalf of the chapter.

More information

DELEGATE ASSEMBLY. Sponsorship Opportunities

DELEGATE ASSEMBLY. Sponsorship Opportunities 2017 DELEGATE ASSEMBLY Sponsorship Opportunities 2017 DELEGATE ASSEMBLY Sponsorship Details The Florida Education Association (FEA) is a vibrant and growing organization dedicated to our public schools,

More information

LEAF Marque Assurance Programme

LEAF Marque Assurance Programme Invisible ISEAL Code It is important that the integrity of the LEAF Marque Standard is upheld therefore the LEAF Marque Standards System has an Assurance Programme to ensure this. This document outlines

More information

DIRECTORY Pharmacy

DIRECTORY Pharmacy 2017 Pharmacy DIRECTORY This is a brief explanation and overview of the pharmacies members can use to get their prescription drugs. In a continued effort to offer our members value, pharmacies may be added

More information

AHIP Webinar: Top Tips for a Successful National Diabetes Prevention Program

AHIP Webinar: Top Tips for a Successful National Diabetes Prevention Program AHIP Webinar: Top Tips for a Successful National Diabetes Prevention Program September 20, 2016 2:00 3:00 PM EST Project funding supported through a cooperative agreement with the CDC #5US8DP004157 Welcome

More information

Corporate Presentation. August 2016

Corporate Presentation. August 2016 v Corporate Presentation August 2016 Safe harbor statement Certain statements made in this presentation contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933,

More information

Strategy at Work. MedStar Health. Engaging people, improving performance

Strategy at Work. MedStar Health. Engaging people, improving performance Strategy at Work MedStar Health Engaging people, improving performance About MedStar Health A $3.1 billion nonprofit health care organization formed in 1998 Headquartered in Columbia, MD Operates eight

More information

Quick-Start Guide. UnitedHealthcare of Minnesota, North Dakota and South Dakota.

Quick-Start Guide. UnitedHealthcare of Minnesota, North Dakota and South Dakota. Quick-Start Guide. UnitedHealthcare of Minnesota, North Dakota and South Dakota. Welcome. Thank you for joining us! As a new payer in Minnesota, North Dakota and South Dakota, we have an extraordinary

More information

PROVIDER CONTRACT ISSUES

PROVIDER CONTRACT ISSUES 211 East Chicago Avenue T 312.440.2500 Chicago, Illinois 60611 F 312.440.7494 www.ada.org TOP 10 CLAIM CONCERNS: ADA, NADP SHARE VIEWS ON DENTISTS CONCERNS The ADA Council on Dental Benefit Programs continually

More information

2018 Business Associate Sponsorship Options

2018 Business Associate Sponsorship Options 2018 Business Associate Sponsorship Options P.O. Box 790 - Sherwood, OR 97140 Phone (678) 523-5915 - Fax (877) 872-3493 - Email: main@ohiomgma.com - www.ohiomgma.com members are healthcare leaders and

More information

SPONSORSHIP, EXHIBITOR, & ADVERTISING OPPORTUNITIES

SPONSORSHIP, EXHIBITOR, & ADVERTISING OPPORTUNITIES SPONSORSHIP, EXHIBITOR, & ADVERTISING OPPORTUNITIES PAA provides aligned organizations with opportunities to promote programs, products, and services to our members and the population research community.

More information

New patients approved for the Novo Nordisk PAP may only be eligible for insulin vials. For a full list of available products, please visit:

New patients approved for the Novo Nordisk PAP may only be eligible for insulin vials. For a full list of available products, please visit: The Novo Nordisk Diabetes Patient Assistance Program (PAP) provides medication to qualifying applicants at no charge. If the applicant qualifies under the Novo Nordisk Diabetes PAP guidelines, a 120-day

More information

Chapter 18 Section 2. EXPIRED - Department Of Defense (DoD) Cancer Prevention And Treatment Clinical Trials Demonstration

Chapter 18 Section 2. EXPIRED - Department Of Defense (DoD) Cancer Prevention And Treatment Clinical Trials Demonstration s And Pilot Projects Chapter 18 Section 2 EXPIRED - Department Of Defense (DoD) Cancer Prevention And Treatment Clinical Trials 1.0 PURPOSE The purpose of this demonstration is to improve TRICARE-eligible

More information

Sample Calling Script

Sample Calling Script Sample Calling Script *Please see last page for instructions on sorting your alpha roster to view those members who have yet to renew. Greetings: Be sure to introduce yourself with your title and the constituent/component

More information

April 4-6, 2014 Hyatt Regency, Long Beach, CA

April 4-6, 2014 Hyatt Regency, Long Beach, CA 9th Annual Joint American Homeopathic Conference 2014 Presented by the National Center for Homeopathy April 4-6, 2014 Hyatt Regency, Long Beach, CA About the Joint American Homeopathic Conference: Since

More information

What to Expect When You Visit. The First Visit. Follow Up Visits. Laboratory Tests

What to Expect When You Visit. The First Visit. Follow Up Visits. Laboratory Tests Vibrant Health Naturopathic Medical Center & Clinical Thermography Dr. Nicole Schertell 100 Shattuck Way, Newington, NH 03801 (603) 431-6677 or (603) 610-7718 1-888-796-2862 fax Welcome! Vibrant Health

More information

Diagnostics for the early detection and prevention of colon cancer. Fourth-Quarter 2014 Earnings Call February 24, 2015

Diagnostics for the early detection and prevention of colon cancer. Fourth-Quarter 2014 Earnings Call February 24, 2015 Diagnostics for the early detection and prevention of colon cancer Fourth-Quarter 2014 Earnings Call February 24, 2015 Safe Harbor Statement Certain statements made in this presentation contain forward-looking

More information

Trust Your Employees Smiles to Delta Dental

Trust Your Employees Smiles to Delta Dental Trust Your Employees Smiles to Delta Dental #SGEB2019 Give Employees Something to Smile About Employees rate dental benefits second in importance when comparing insurance coverage. According to the Delta

More information

BEGINNING THE END OF HOMELESSNESS

BEGINNING THE END OF HOMELESSNESS 2019 CONFERENCE SPONSORSHIP PACKAGE BEGINNING THE END OF HOMELESSNESS Solving homelessness together The National Conference on Ending Homelessness is the annual gathering of a growing national movement

More information

RAH s Regional Fertility & Women s Endocrine Clinic FAQs

RAH s Regional Fertility & Women s Endocrine Clinic FAQs RAH s Regional Fertility & Women s Endocrine Clinic FAQs What changes are being made to the Regional Fertility & Women s Endocrine Clinic at the Lois Hole Hospital for Women in the Royal Alexandra Hospital

More information

October 2015 news bulletin

October 2015 news bulletin October 2015 news bulletin Claims tip of the month billing medical injectables For single dose vials, providers should bill Amerigroup Washington, Inc. for the total amount of the drug contained in the

More information

NYS Parent Teacher Association Strategic Alliance Working collaboratively to support New York s children, families and educators

NYS Parent Teacher Association Strategic Alliance Working collaboratively to support New York s children, families and educators NYS Parent Teacher Association Strategic Alliance 2017-18 Working collaboratively to support New York s children, families and educators What is the NYS PTA The New York State Parent Teacher Association

More information

EXHIBITOR & SPONSORSHIP INFORMATION

EXHIBITOR & SPONSORSHIP INFORMATION EXHIBITOR & SPONSORSHIP INFORMATION Association of Paroling Authorities International 2019 Annual Training Conference March 31-April 3, 2019 / Baltimore, Maryland 2019 APAI Annual Training Conference Exhibitor

More information

MArch The 2014 Drug Trend Report Highlights

MArch The 2014 Drug Trend Report Highlights MArch 2015 The 2014 Drug Report Highlights Highest Increase in U.S. Drug Spend Over Past Decade In 2014, the pharmacy landscape underwent a seismic change, and the budgetary impact to healthcare payers

More information

Your Hearing. and How to Use It HEAR BETTER LIVE FULLY. Ensures Savings

Your Hearing. and How to Use It HEAR BETTER LIVE FULLY. Ensures Savings HEAR BETTER LIVE FULLY Hearing is one of the five natural senses that allow us to enjoy life and the world around us. Music, radio, television, movies, and theater all become less accessible and enjoyable

More information

Market Distortions from the 340B Drug Pricing Program

Market Distortions from the 340B Drug Pricing Program Market Distortions from the 340B Drug Pricing Program Adam J. Fein, Ph.D. www.drugchannels.net @DrugChannels The opinions and views expressed in this presentation are those of the author and may not reflect

More information

Dental Dialog. Highlighting news, programs, policies and tips for Aetna participating dentists. Fall aetna.com

Dental Dialog. Highlighting news, programs, policies and tips for Aetna participating dentists. Fall aetna.com Dental Dialog Fall 2017 Highlighting news, programs, policies and tips for Aetna participating dentists 43.22.802.1-FA A (10/17) aetna.com Dental Dialog Fall 2017 Inside this issue The opioid epidemic...

More information

Re: Docket No. FDA-2009-N-0294 Regulation of Tobacco Products; Request for Comments

Re: Docket No. FDA-2009-N-0294 Regulation of Tobacco Products; Request for Comments VIA Electronic Submission to http://www.regulations.gov September 29, 2009 Division of Dockets Management (HFA-305) Food and Drug Administration 5630 Fishers Lane, rm. 1061 Rockville, MD 20852 Re: Docket

More information